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DR. ELIZABETH DICKSON RUTTER M.D.
NPI 1740624972
Emergency Medicine in Salt Lake City, UT

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
30 N 1900 E, SOM RM4C116, SALT LAKE CITY, UT 84132(615) 417-6170 Get Directions Write a Review

NPPES record last updated: November 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2021, May 16, 2017 (2 updates tracked since 2017).

About Dr. Elizabeth Dickson Rutter M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELIZABETH DICKSON RUTTER M.D. (NPI 1740624972) is an individual emergency medicine provider in Salt Lake City, Utah, licensed in Utah (9164169-1205) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of Carbon County, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1740624972
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. ELIZABETH DICKSON RUTTERCredential: M.D.
Location Address30 N 1900 E, SOM RM4C116Salt Lake City, UT 84132-0002
Mailing Address127 S 500 E, Ste 600Salt Lake City, UT 84102-1971 · (801) 587-6336
Phone(615) 417-6170
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateNovember 17, 20212 updates tracked since enumeration
NPPES CertifiedNovember 17, 2021
✔ NPI 1740624972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in UT · 9164169-1205
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
30 N 1900 E, Salt Lake City, UT 84132
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elizabeth Dickson Rutter M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204150436
PECOS Enrollment IDI20170712001967
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Elizabeth Rutter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
0.1 mi
Interventional Cardiology
50 NORTH MEDICAL DRIVE
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Wyoming enrollment
  • 91 clinicians in this Medicare group
NPI 1285038083 (801) 581-2121
Teton Valley Health Care, Inc
199 mi
Rural Health
83 N MAIN ST
Victor, ID 83455
  • Reassigned Medicare billing, Idaho enrollment
  • 90 clinicians in this Medicare group
NPI 1801143029 (208) 354-6307
Memorial Hospital Of Carbon County
248 mi
General Acute Care Hospital
2221 W ELM ST
Rawlins, WY 82301
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1710298757 (Wyoming)
  • 43 clinicians in this Medicare group
NPI 1417031311 (307) 324-2221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital Of Carbon County

Critical Access Hospitals · Rawlins, WY
OwnershipGovernment - Local
CMS Certification Number531316
Location2221 West Elm StreetRawlins, WY 82301 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANNE WIERMAN ESTARES D.O.
Anesthesiology
30 N 1900 E, RM 4C104
SALT LAKE CITY, UT 84132
Salt Lake County (719) 314-5254
DR. JEFFREY DAVID DILLON M.D.
Anesthesiology
30 N 1900 E, ROOM 3C444
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6393
QUINTON ALLRED PA-C
Physician Assistant (Medical)
30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7822
JEREMY ROYLE STODDART MD
Psychiatry & Neurology (Psychiatry)
30 N 1900 E, UNIVERSITY HOSPITAL,
SLC, UT 84132
Salt Lake County (801) 581-2121
DR. STEPHEN JAMES SUMMERS M.D.
Urology
30 N 1900 E, RM 3B420
SALT LAKE CITY, UT 84132
Salt Lake County (801) 213-2700
CHRISTINA MARIE DERBIDGE PHD
Psychologist (Clinical)
30 N 1900 E, ROOM SOM 1-B620
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-6228
ANDRIA HOLMES HOLT RN
Nurse Practitioner (Obstetrics & Gynecology)
30 N 1900 E
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7647
ANDY NGUYEN
Internal Medicine
30 N 1900 E, SOM4C104
SALT LAKE CITY, UT 84132
Salt Lake County (801) 581-7899

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Rutter's NPI number?

The NPI number for Elizabeth Rutter is 1740624972. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Elizabeth Rutter located?

Elizabeth Rutter practices at 30 N 1900 E Som Rm4c116, Salt Lake City, UT 84132. The listed phone number is (615) 417-6170.

What is Elizabeth Rutter's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Elizabeth Rutter enrolled in Medicare?

Yes. Elizabeth Rutter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Rutter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Rutter reassigns Medicare benefits to 3 organizations: University Of Utah Adult Services (Salt Lake City, UT), Teton Valley Health Care, Inc (Victor, ID) and Memorial Hospital Of Carbon County (Rawlins, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Rutter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Rutter accept?

Health plans from Blue Cross Blue Shield of Wyoming list Elizabeth Rutter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elizabeth Rutter affiliated with any hospitals?

According to CMS data, Elizabeth Rutter is affiliated with Memorial Hospital Of Carbon County.

When was this NPI record last updated?

The NPPES record for Elizabeth Rutter was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.